Dr.T.JOTHIMURUGANDIRECTOR-MBAKLNCE

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India Today *One in five children have

stress related emotional disorders.

*40% teenagers admit to severe anxiety.

*Apollo Hospitals – a leading chain of hospitals has opened a separate clinic for teenagers – seeing a huge no. of teen patients coming in for treatment for problems like hyper-tension (BP) and obesity

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*In the past five years, cardiologist Brian Pinto of Nanavati hospital, Mumbai, has seen a 20% increase in teenage patients with hypertension.

* Teen suicide rates have trebled in the past 25 years and 40% suffer from anxiety.

Causes : Academic Pressure, Lack of family support, Bad diet and habits.

Long term Consequences : Most adult depression is rooted in adolescence.

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IS A PART OF EVERYDAY LIFE IS NECESSARY DOES NOT HAVE TO BE NEGATIVE OR

OVERWHELMING

TIME, MONEY, AND RELATIONSHIPS

ENSURE THAT STRESS WILL ALWAYS BE WITH US

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Stress is a physiological Stress is a physiological response to an imbalance in response to an imbalance in the mind.the mind.

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DEFINITION: THE NON-SPECIFIC RESPONSE OF

THE BODY TO ANY DEMAND “…STRESS IS ESSENTIALLY

REFLECTED BY THE RATE OF ALL THE WEAR AND TEAR CAUSED BY LIFE.”

-Hans Selye, MD

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IT DOES NOT MATTER IF THE STRESSOR IS PLEASANT OR UNPLEASANT, OR THE RESULTS ARE GOOD OR BAD

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NOT ALL STRESS IS NEGATIVEEUSTRESS: POSITIVE STRESSRESULTS FROM EXHILARATING

EXPERIENCES:WINNING THE LOTTERYUNEXPECTED PROMOTION AWARD

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DISTRESSSTRESS OF:LOSING, FAILING, OVERWORKING

AND NOT COPINGCAN BE HARMFUL AND IT IS NORMAL

FROM TIME TO TIME

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FALL INTO TWO CATEGORIES:

EXTERNAL INTERNAL

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MAY BE MAJOR LIFE EVENTS:

MOVING( RESIDENCE,JOB) DEATH OF SPOUSE, FAMILY MEMBER

OR FRIEND LOVE FAILURE, DIVORCE

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SUCH AS: FINANCIAL DEADLINES ARGUMENTS FAMILY

CONCERNS LACK OF SLEEP

AND STARVATION

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“INSIDE OURSELVES”

THIS TYPE OF STRESSOR MAY PLAY A GREATER ROLE IN THE STRESS OF DAILY LIFE

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EXAMPLES ARE:“VALUES AND

BELIEFS”FAITHGOALSSELF-IMAGE

EXPECTATIONS OF SELVES & OTHERS

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IS THE AUTOMATIC STATE THAT RESULTS WHEN THE BODY ATTEMPTS TO MAKE CHANGES IN ORDER TO ADAPT TO ANY DEMAND

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DRIVEN BY HORMONES

HORMONES ACT LIKE A CONDUCTOR

HORMONES INNERVATE BODY SYSTEMS/ORGANS

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HYPOTHALAMUS STIMULATES PITUITARY

PITUITARY RELEASES ACTH INTO BLOOD

ACTH STIMULATES ADRENAL GLANDS TO SECRETE FURTHER CHEMICALS THAT AFFECT OTHER ORGAN SYSTEMS

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HEART RATE SPEEDS UP BP RISES BREATHING SPEEDS UP BLOOD TO MUSCLES SWEATING BLOOD SUGAR INCREASES

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PHYSICAL MENTAL

EMOTIONAL BEHAVIORAL COGNITIVE

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MUSCLE TENSION NAUSEA, VOMITING HEADACHES NECK & BACK PAIN DIARRHEA SLEEP DISTURBANCES DRY MOUTH, SWEATY

PALMS UPPER RESPIRATORY

INFECTIONS COLD HANDS BREATHING CHANGES

(E.G., SHALLOW, SIGHING)

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ANXIETY, WORRY, GUILT, NERVOUSNESS

ANGER, FRUSTRATION MOODINESS DEPRESSION APPETITE VARIES RACING THOUGHTS DIMINISHED

CONCENTRATION IMPAIRED MEMORY OR

FORGETFULNESS

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INDECISIVENESS CLOSE TO TEARS OR CRYING LONELINESS FEAR OF GETTING CLOSE SUICIDAL THINKING TROUBLE LEARNING NEW INFO CONFUSED/DISORGANIZED

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SERIOUS APPEARANCE NERVOUS BEHAVIOR/HABITS RUSHING/PACING ON EDGE INCREASED FRUSTRATION/IRRITABLE MORE ACCIDENTS OVERREACTING

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REDUCED PRODUCTIVITY SOCIAL WITHDRAWAL DEFENSIVE SLEEP PROBLEMS/TIREDNESS INCREASED USE OF OTC DRUGS INCREASED TOBACCO INCREASED ALCOHOL INCREASED RECREATIONAL DRUGS

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HAVE EXAGGERATED FEARS

DEVELOP ANXIETY/PANIC

DEVELOP PHYSICAL PROBLEMS INCLUDING CV DISEASE, HBP, ULCERS OR HEADACHES

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NOW THAT YOU ARE FAMILIAR WITH SOME OF THE SYMPTOMS OF

STRESS, HOW DO YOU MANAGE IT?

SIMPLE, RIGHT?

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COPING SKILLS FOR STRESS MANAGEMENT:

DEEP BREATHING EXERCISE RELAXATION GUIDED IMAGERY

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GET ORGANIZED & MANAGE YOUR TIME:“USE CALENDERS OR ELECTRONIC DEVICES OR TO DO LISTS”

KNOW YOUR LIMITS: BE REALISTIC

CHANGE ATTITUDE: LEARN TO SEE

STRESSFUL SITUATIONS AS CHALLENGES

TALK IT OVER: TALK THE

SITUATION OVER WITH A FRIEND

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LEARN TO SAY “NO”: THERE ARE SOME DEMANDS THAT

WE HAVE NO CONTROL OVER. SEPARATE THOSE FROM ACTIVITIES

OVER WHICH WE HAVE SOME CONTROL, AND

LEARN TO SAY “NO” TO DEMANDS AND WORKS.

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POSITIVE SELF TALK: LEARN THAT YOU CAN MANAGE A STRESSFUL SITUATION BY WHAT YOU SAY TO YOURSELF, “I CAN HANDLE THIS ONE STEP AT A TIME”.

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TAKE CHARGE: TAKE RESPONSIBILITY FOR MAKING YOUR LIFE WHAT YOU WANT.

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DEEP BREATHING PROGRESSIVE

MUSCLE RELAXATION

BIOFEEDBACK MEDITATION BEGIN AN EXERCISE

PROGRAM REAPPRAISE YOUR

LIFE AND PRIORITIES

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LOVE, PRAY, FORGIVE

REALIZE THAT MOST STRESS COMES FROM WITHIN, NOT WITHOUT.

TAKE TIME TO SMELL THE FLOWERS AND TASTE THE STRAWBERRIES.

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THANK YOU

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